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NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization

NURS FPX 8030 Assessment 2 Evidenced-Based Literature Search and Organization


Capella university

NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Prof. Name


Evidence-Based Literature Review: Staffing Ratios and Patient Satisfaction in Healthcare

Staffing shortages have long been a pervasive issue in the healthcare sector, posing significant concerns for patient safety. The impact of short staffing extends to various patient safety issues, such as increased rates of patient falls, catheter-associated urinary tract infections (CAUTIs), hospital-acquired pressure injuries (HAPIs), and diminished patient satisfaction scores. Inadequate staffing not only affects patient care but may also compel nursing staff to forego certain tasks due to time constraints. Addressing staffing challenges is crucial for healthcare, particularly in its impact on nurses. This paper seeks evidence on the efficacy of maintaining adequate staffing ratios and explores whether it leads to improved patient satisfaction scores within a one-year timeframe. The formulated PICOT question is as follows:

In hospital patients, how do safe staffing ratios of 1:6, compared to unsafe staffing ratios of less than 1:6, affect patient safety?

  • P (Population): Nurses
  • I (Intervention): Safe staffing ratios 1:6
  • C (Comparison): Unsafe staffing ratios less than 1:6
  • O (Outcome): Patient satisfaction scores and reduction of patient safety issues
  • T (Time): 6 months

Search for Literature

The initial step in the literature search process involves identifying a problem affecting nurses. In this case, the focus is on staffing ratios and their daily impact on nurses and patients. A PICOT question was formulated, and relevant keywords were identified to create a strategic search plan. The chosen keywords, including nurses, nursing ratios, patient satisfaction, patient safety, and six months, were utilized in a database search. Two key search engines, CINAHL Complete and Nursing & Allied Health, were employed, employing an advanced search with truncation and Boolean connectors.

Inclusion/Exclusion Criteria

The inclusion criteria stipulated that selected articles must be peer-reviewed and not older than five years, with most articles within a three-year timeframe (2019 onwards). Full-text availability online ensured ease of access. Exclusion criteria encompassed articles older than five years, non-peer-reviewed articles, and those not set in a hospital setting. Patients with mental health problems, cognitive delay, or dementia were excluded due to challenges in obtaining accurate data and feedback from these populations.

Research Articles

Five relevant articles were selected based on the inclusion criteria:

  1. Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources, and personal resources (Van Den Oetelaar et al., 2021).
  2. Impact of Dual Intensive Care Unit and Rapid Response Team Nursing Roles on Service Delivery in the Intensive Care Unit (Fildes et al., 2022).
  3. Rethinking Nursing Productivity: A Review of the Literature and Interviews with Thought Leaders (Disch & Finis, 2022).
  4. What Do Nurses Need to Practice Effectively in the Hospital Environment? An Integrative Review With Implications for Nurse Leaders (Kowalski et al., 2020).
  5. An Overview of Missed Nursing Care and Its Predictors in Saudi Arabia: A Cross-Sectional Study (Al Muharraq et al., 2022).

These articles, meeting the inclusion criteria, provide recent, reliable, and peer-reviewed information relevant to nursing staffing ratios and patient satisfaction.

A PRISMA diagram (see Appendix 1) was utilized to organize and present the results of the literature search, reflecting the identification and selection of studies via databases and registers.


Al Muharaaq, E. H., Alallah, S. M., Alkhayrat, S. A., & Jahlan, A. G. (2022). An overview of missed nursing care and its predictors in Saudi Arabia: A cross-sectional study. Nursing Research and Practice, 2022.

Disch, J., & Finis, N. (2022). Rethinking nursing productivity: A review of the literature and interviews with thought leaders. Nursing Economics, 40(2), 59-71.

Fildes, C., Munt, R., & Chamberlain, D. (2022). Impact of dual intensive care unit and rapid response team nursing roles on service delivery in the intensive care unit. Critical Care Nurse, 42(5), 23-31.

Kowalski, M. O., Basile, C., Bersick, E., Cole, D. A., McClure, D. E., & Weaver, S. H. (2020). What do nurses need to practice effectively in the hospital environment? An integrative review with implications for nurse leaders. Worldviews on Evidence-Based Nursing, 17(1), 60-70.

Van Den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., Stellato, R. K., & Willem, v. R. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources, and personal resources; a longitudinal study. PLoS One, 16(2).

Appendix 1:

Number (n)
PRISMA Diagram
Studies identified via databases and registers
Records removed before screening:
– Duplicate records removed 7
– Records marked as ineligible by automation tools 6
– Records removed for other reasons 2
Records identified from*:
– Databases 44
– Registers 0
Records screened 29
Records excluded** 8
Reports sought for retrieval 21
Reports not retrieved 6
Reports assessed for eligibility 15
Reports excluded:
– Reason 1 – Insignificant population 4
– Reason 2 – Inappropriate intervention – never utilized any staffing strategies 6
Studies included in review 5


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